Individual ProviderEleanor Katherine EganCounselorBehavioral Health & Social Service ProvidersPractice Address23 Main St, Watertown, MA 02472-4403(617) 435-6714PECOS EnrollmentBased on the most recent information from CMS, provider Eleanor Katherine Egan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1811945843Provider TypeIndividualFull NameEgan, Eleanor KatherineTitleMs.CredentialM.ED LMHCGenderFemaleEnumeration Date5/4/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address23 Main St, Watertown, MA 02472-4403Phone(617) 435-6714FaxUnlisted FaxMailing LocationMailing Address21 Hanson Ave, Somerville, MA 02143-3714Phone(617) 435-6714FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense3710MassachusettsProvider IdentifiersIDDescriptionIssuerIDLM0834DescriptionOtherIssuerBC/SPROVIDERMassachusettsID3710DescriptionOtherIssuerLMHC LICENSEMassachusetts